The route was designated originally on March 19, 1930 between Cooper and Quitman as a renumbering of SH 37A.

A proposed extension west to Ladonia was added on February 8, 1933.

[6] On September 26, 1939, it was extended southeast from Gilmer to Marshall along its current route.

[7] On August 24, 1960, the section north of Sulphur Springs was transferred to SH 19.

On August 28, 1961, SH 154 was extended north and west to Cooper, replacing part of FM 64.